Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork)

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0807 can be found here:

Documents and Forms

Document Name Document Type
BBA 824 Intranet Final Screen Package OMB version 05182017.docx Other-Internet screens
AOW001_SmartClaim_824Updates_ScreenPackage_5-24-17.docx Other-Payroll Data Release Form Page

Information Collection (IC) Details

IC Title:	Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet screens			BBA 824 Intranet Final Screen Package OMB version 05182017.docx		Yes	Yes	Fillable Fileable Signable
Other-Payroll Data Release Form Page			AOW001_SmartClaim_824Updates_ScreenPackage_5-24-17.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,769,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,769,800	2,769,800
Annual IC Time Burden (Hours)	92,327	92,327
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.